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6Reduction and fixation (triangular external fixation)

Tibiotarsal transfixation in triangular external fixation

Tibiotarsal transfixation

To keep the midfoot in a neutral position, one or two small pins should be inserted

  • In one of the cuneiforms or cuboid
  • In the first metatarsal or
  • In the first and in the fifth metatarsal

and connected directly, or through a partial frame, with the tibial frame.